Individual provider Active NPI

Carolyn Louise Garcia, M.D.

  • Obstetrics & Gynecology Physician
  • Herndon, VA
National Provider Identifier
1871571349
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
010127440 Issued in VA
Practice address
1141 Elden St Ste 300
Herndon, VA 20170-5572
Phone
(703) 443-2000
NPI assigned
Jan 5, 2006
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29561 OK
Obstetrics & Gynecology Physician 207V00000X 010127440 VA Primary

Addresses

Primary practice location

1141 Elden St Ste 300
Herndon, VA 20170-5572

Mailing address

350 South 40TH Street
Muskogee, OK 74401-4915
Phone (918) 683-0753

Other practice location 1

1202 W Cherokee St Ste G
Wagoner, OK 74467-4629
Phone (918) 201-7019

Other practice location 2

350 S 40th St
Muskogee, OK 74401-4915
Phone (918) 683-0753

Other identifiers 2

IdentifierTypeStateIssuer
200462080AMedicaidOK
200468380XMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101001705 VA Practitioner - Obstetrics/Gynecology 4082799028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loudoun Community Health CenterGroup PAC ID 5193822930, 11 clinicians

Practice addresses (Care Compare)

1141 Elden St
Suite 300
Herndon, VA 20170-5549
Phone (703) 481-8160

163 Fort Evans Rd NE
Leesburg, VA 20176-4420
Phone (703) 443-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29561OKMDObstetrics & Gynecology Physician
010127440VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Community Health Center CurrentSince Oct 4, 2024 Accepting new patients
Loudoun Community Health Center CurrentSince Oct 4, 2024 Accepting new patients
Rumford Community Family Health Center, Inc. Past Accepting new patients

Locations

1141 Elden St
Ste 300
Herndon, VA 20170
Phone (703) 481-8160

13800 Wall Rd
Ste 55
Herndon, VA 20171

163 Fort Evans Rd NE
Leesburg, VA 20176
Phone (703) 433-2000

11484 Washington Plz W
Ste 300
Reston, VA 20190
Phone (703) 689-2180

21641 Ridgetop Cir
Ste 107
Sterling, VA 20166
Phone (703) 475-7595

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1871571349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SOUTH 40TH STREET",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014915",
            "telephone_number": "918-683-0753",
            "fax_number": "866-397-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 ELDEN ST STE 300",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705572",
            "telephone_number": "703-443-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 W Cherokee St Ste G",
            "address_purpose": "LOCATION",
            "city": "Wagoner",
            "state": "OK",
            "postal_code": "744674629",
            "country_code": "US",
            "telephone_number": "918-201-7019",
            "fax_number": "918-201-7022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 S 40th St",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744014915",
            "country_code": "US",
            "telephone_number": "918-683-0753",
            "fax_number": "866-397-7556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CAROLYN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "29561",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "010127440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200462080A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200468380X",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.